Healthcare Provider Details

I. General information

NPI: 1063301364
Provider Name (Legal Business Name): REROUTING REALITY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6726 MORGANTON RD # 176
GREENBACK TN
37742-2464
US

IV. Provider business mailing address

6726 MORGANTON RD # 176
GREENBACK TN
37742-2464
US

V. Phone/Fax

Practice location:
  • Phone: 254-466-0274
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY WEAVER
Title or Position: THERAPIST
Credential: LPC
Phone: 254-466-0274